A possible treatment used in the restoration of teeth is the use of Porcelain Crowns.
Indications that signify you may need a Dental Crown include
- A tooth that has more filling than tooth in it – this will deteriorate the structure of the remaining tooth, which will not be able to support the filling anymore.
- Discolouration, staining and poor aesthetics
- Root Canal – subsequent to Root Canal, teeth can become brittle and have a higher chance of fracture and thus must be guarded by a Dental Crown
- Widespread tooth destruction by tooth decay
- Bridges – when a bridge is used to substitute for absent teeth, the neighbouring teeth need Porcelain Crowns in order to support the substitute teeth.
What do Dental Crowns do?
Porcelain Crowns are used to reinforce and guard the existing tooth structure and can be used to increase the aesthetics of teeth. Crowns can be made from a number of materials.
The 3 most common types of crowns are:
- Full Porcelain Crowns
- Full Metal Crowns
- Porcelain fused-to-metal Crowns
The type of crown used for you will depend on a number of factors including strength necessities and visual concerns and will be decided upon by you and the dentist.
How do you Fit a Dental Crown?
The preparation, fitting and placement of a crown consists of a minimum of 2 appointments. During the 1st appointment, the dentist will prepare your tooth for the crown placement and will generate a mould of the tooth. During this appointment, the dentist will also cover the newly equipped tooth with an impermanent crown. Subsequently, in the 2nd appointment, the temporary crown will be separated from the tooth and the permanent crown will be tailored, fitted and concreted into its final position.
In the first visit, you will be required to have a local anaesthetic to ensure that the procedure is pain-free. The local anaesthetic will numb the area where the crown will be fitted and could last from 1 to 4 hours or possibly longer. During the time when the area is still numb, it is important for you to take precaution with hot foods, as you will not be able to judge temperatures. It is advised that during this period you stick to a soft diet or avoid any food of beverages, besides water. Please also be wary of biting your tongue or lip. If your child is our patient and has had a local anaesthetic, ensure that you watch them with vigilance.
During the first appointment, the tooth is readied in a precise manner to ensure that the tooth retains the new crown and that the aesthetics of the crown are perfect. After the preparation of the tooth is completed, the dentist will then generate moulds of the tooth. These impressions are created using a thin piece of retraction cord, which encircles the tooth. The impression created will be of the area under the gum where the crown will be positioned eventually.
Subsequent to the impressions being created, the dentist will position and place an impermanent crown, or bridge in the case of numerous teeth, on the tooth. The temporary crown is made of an acrylic material and is used to guard the tooth and gum tissue until the second appointment.
After this appointment, if you experience any aches or pains, you can take mild analgesics such as Nurofen or Panadol, or anything you would typically ingest for a headache. If this discomfort continues, please do not hesitate to call us.
Care of the Temporary Crown
Home care of the temporary crown is vital to the success of the final result. It is essential that you consistently clean your teeth between the first and second visit, advisably twice a day, as per usual. If your crown becomes wobbly, attempt to position it back on your tooth promptly. If you have difficulty doing this, you can place Vaseline in the crown or bridge as this will aid it to adhere to the tooth. It is essential for you to replace the crown or bridge immediately as teeth only take a short time to shift positions and not having the crown or bridge in place could change the results of the eventual restoration and could even call for another set of impressions to be made. If you cannot place the crown or bridge back in place, please call us immediately to schedule an appointment and put the item in a safe place.
On the second visit, the temporary crown placed on your tooth in the last visit will be taken out and the cement used to secure it will be removed from the tooth. In this appointment, the dentist will adjust and fit the final crown to perfection and assess the visual look of the crown. Once the dentist is pleased with the shape and aesthetics of the crown, they will secure it to the tooth using a permanent cementation technique. Once your new crown has been placed, it is common that you may experience slight sensitivity to cold food and beverages in the following weeks. However, if the sensitivity is extreme or does not go away, or if it feels abnormal to bite with your new crown, then contact the dentist as extra adjustments to the crown might need to be made. By adhering to the easy recommendations for looking after your crown, you will be assured minimal problems. If you have any questions, please do not hesitate to contact us.
Procedure for Dental Bridges
The loss of a tooth can have a significant impact on one’s dental health and physical appearance. Teeth depend on each other and the loss of one, or more, teeth, can alter the original position of the residual teeth. The neighbouring teeth to the gap are likely to shift or begin to slope, and these teeth are commonly more likely to deteriorate and decay. Gum disease is also more prevalent surrounding these teeth as they are often more challenging to clean around. This resulting movement of the teeth can cause an alteration in bite and can put strain on the muscles, teeth and jaw. After a while, the movement of these teeth will reduce one’s ability to easily chew tough foods and their facial features may be altered. A common solution to the problem of tooth loss is a bridge, which comprises of replacement tooth/teeth connected to crowns on either side of the space. The bridge is fused to the teeth next to the gap. This means that the bridge replaces the absent tooth and prevents any further movement of the adjacent teeth. The process followed for the creation and insertion of a bridge is very similar to that of a crown. Bridges can be created from the same materials used for crowns: complete porcelain, complete metal or porcelain fused-to-metal. For a bridge to be fitted, a minimum of 2 appointments is required. In the 1st appointment, the dentist will get the teeth alongside the space ready for crowns and a mould of the prepared teeth is generated. An impermanent bridge is also fitted in the mouth. In the 2nd appointment, the dentist will fine-tune the fitting of the bridge and then fix it in its correct position.
Special Care for Dental Bridge
Care for bridges is rather simple and does not differ greatly from normal oral hygiene, however, more precaution should be taken when brushing and flossing. When fitted with your bridge, the dentist will guide you on how to clean the bridge and the areas surrounding it. They may also advise you to purchase specific cleaning tools to aid in keeping the plaque at a minimum and to prevent gum disease and decay. Porcelain Fixed Bridges
Dental Bridges are immovable and are a superb way to replace lost teeth. There are multiple types of bridges available and it is recommended that you talk over these with your dentist to find the best solution for you. One of the most popular types of bridges is the traditional bridge, which is generally constructed from porcelain fused-to-metal. Porcelain fixed bridges are also popular because they bear the highest resemblance to the rest of your teeth and thus are aesthetically pleasing. Fixed bridges comprise of two crowns that go over two securing teeth. Bridges are connected to false teeth, which fill the void formed by the lost tooth/teeth. Bridges generally last many years and are resilient to normal diets. However, it is possible that bridges may need to be changed or re-secured due to the strains of standard wear.
Reasons for a Fixed Bridge:
- Retain existing facial shape
- Fill void of absent teeth
- Stop existing teeth from shifting places
- Improve speaking and chewing ability
- Improve your smile
- Progress from a removable, partial denture to a permanent dental appliance
Factors Involved when Getting a Dental Bridge Procedure
When getting a bridge, a minimum of 2 visits is required. Whilst under local anaesthetic, the two securing teeth alongside the space will be prepared by the dentist. This will be done by eliminating a section of the tooth enamel to enable the crown to be placed. After this, a mould will be created and physically made by the dental laboratory. Whilst the impression is being made into a physical manifestation, a temporary bridge must be worn for a few weeks until the next appointment. During the 2nd appointment, the real bridge will be fitted and tweaked to perfection and completely secured. Sometimes, the dentist will only use a temporary cement for the bridge. This enables the mouth and tissue to adjust to the new bridge, which will be permanently secured at a later date. Upon receiving your bridge you will be given instructions on how to care for your bridge. These instructions will reiterate that consistent brushing, flossing and regular check-up visits will assist in the life of the permanent bridge.
Whether you require a Porcelain Dental Crown or Dental Bridge, Dr. Finkelstein is committed to providing you with professional dental work that will provide you with the results you’re looking for.
Located in Sydney CBD & Chatswood, Dr. Finkelstein treats patients from Sydney CBD, North Ryde, Epping, Killara, Roseville, Willoughby, Castle Hill and beyond. Dr Finkelstein performs cosmetic and orthodontic dentistry, book a consultation to discuss your dental needs today.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from another qualified registered Dental Surgeon.
Dr Michael Finkelstein BDS